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NCT Number: NCT07403409

Scapular Repeated Contractions Facilitation Versus Hold-relax Techniques in Patients With Adhesive Capsulitis

The study was conducted to determine the effects of scapular repeated contractions facilitation versus hold-relax techniques on pain, range of motion and functional disability in patients with adhesive capsulitis

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Key information

Conditions

Adhesive Capsulitis of the Shoulder Bursitis Joint Diseases Musculoskeletal Diseases

Age range

40 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Rasool Medical Complex Gujrat

Dhok Gujra, Punjab Province, 50700, Pakistan

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosed stage 2 of Adhesive Capsulitis (>4-12 months)
  • Difficulties in 2 or more movements: external rotation, abduction, flexion or internal rotation presenting limitation of more than 30 degrees
  • Patients having diagnosed Diabetes Mellitus type 2
  • Capsular pattern of restriction
  • Unilateral involvement of the shoulder
  • Patients who are not taking any pain killer

Exclusion criteria

  • Surgical history of affected shoulder
  • History of trauma or fracture in affected shoulder
  • Cervical neuropathy or any other disorders of cervical spine, elbow and wrist
  • Any Neurological disorders such as stroke or parkinsonism
  • Any systemic disease such as rheumatoid arthritis, osteoporosis and malignancies in shoulder region
  • Intra-articular injection
  • Open wound or skin infection
  • Manipulation under anesthesia
  • Recurrent dislocation or subluxation
  • Shoulder injuries such as rotator cuff tear, or tendon calcification

Treatment and study plan

Repeated Contraction Facilitation Technique

Other

Repeated contraction facilitation on scapula in two diagonal patterns (D1&D2) were performed .D1 consisted of anterior elevation and posterior depression and D2 consisted of posterior elevation and anterior depression. Isotonic contraction of muscles against the resistance throughout the active ROM was performed.3 sets of 10 repetitions were performed with 20 seconds of rest interval.

Hold-Relax Technique

Other

Hold -Relax on scapula in two diagonal patterns (D1&D2) were performed .D1 consisted of anterior elevation and posterior depression and D2 consisted of posterior elevation and anterior depression in which restricted muscles were contracted isometrically with 5 sec hold followed by relaxation into new range .3 sets of 10 repetitions were performed with 20 seconds of rest interval.

Conventional Physical therapy Treatment for Adhesive Capsulitis

Other

Moist heat pack for 15-20 mins Therapeutic Ultrasound at 1MHz for 8-10 mins in continuous mode with the intensity of 1.5W/cm2 Active Assisted Shoulder for abduction, flexion, internal rotation and external rotation with 3 sets of 15 repetitions 4days/week for 4 weeks Wall slides, Finger ladder exercises, Wand exercises and home exercises were performed.3x15 repetitions with 2 min rest interval for 4 sessions per week for four weeks for each exercise Maitland Glenohumeral Joint Mobilization with 2-3 oscillations per second for 30 seconds for 5 sets 4 times a week in caudal and posteroanterior direction was applied for 4 weeks.

Primary outcomes

  1. Numeric Pain Rating Scale

    Time frame: At base line and end of 4 weeks

    Patient level of pain was assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" ,1- 3 indicates mild pain ,4-6 indicates moderate pain and 7-10 indicates "worst pain". NPRS have shown high test-retest reliability (r = 0.96 and 0.95, respectively) MCID value of NPRS is 2-3

  2. Shoulder Pain And Disability Index

    Time frame: from baseline to end of 4 weeks

    SPADI was used to assess functional disability. It has 13 items, with 5 items for pain and 8 items for disability

Secondary outcomes

  1. ROM shoulder flexion

    Time frame: 4th week

    changes from baseline ROM of shoulder flexion was taken

  2. ROM shoulder abduction

    Time frame: 4th week

    changes from baseline ROM of shoulder was taken

  3. ROM shoulder external rotation

    Time frame: 4th week

    changes from baseline ROM of shoulder external rotation was taken

  4. ROM shoulder internal rotation

    Time frame: 4th week

    changes from baseline ROM of shoulder internal rotation was taken

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Scapular Repeated Contractions Facilitation Versus Hold-relax Techniques on Pain, Range of Motion and Functional Disability in Patients With Adhesive Capsulitis

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Feb 11, 2026
Registry last updated
Feb 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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